- Obtain the original insurance verification completed by office staff.
- Write a letter of appeal that includes the payor representative’s name, the date and time, and the name of the front office staff member.
- Retrieve facts surrounding the patient’s visit, how complicated the case was and any tests ordered.
- Explain how the practice is saving the payor money, such as by sending the patient to physical therapy or designing a home exercise program.
- Summarize what is being asked for, such as six outstanding claims that must be paid in full by the payor and why.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
